George D. Dangas – författare

This issue of Interventional Cardiology Clinics reviews pharmacologic agents currently used to treat patients in the cath lab. All the pharmaceutical knowledge an interventionalist needs is summarized in this handy reference.

Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. CTO constitute one of the main criteria when selecting between angioplasty and bypass surgery. Angioplasty for CTO is intricate and requires excellent operator skill, but even when performed under the best circumstances, it is plagued by lower success rates when compared to non-total occlusions. The main difficulty with CTO lies not with choosing which stent to use, but rather occurs during earlier steps of crossing the lesion and advancing the wire into the true lumen of the distal vessel. Having accomplished this, the rates of restenosis are prohibitively high. Mehran, Dangas and an international team of experienced operators offer the reader sound advice on the evaluation and management of CTO in both the coronary and peripheral vascular systems. Their practical guidance should aid all those working with this difficult subset of patients.

Illustrating the differences between urgent interventions and interventions performed to manage chronic conditions the authors present the chapters in a consistent template for ease of use covering; background, indications, evidence review, device description, procedural techniques, follow-up care, and complications. Shows the differences between interventions performed to manage chronic conditions and interventions that are truly urgentChapters follow a consistent structure from background through indications, evidence review, device description, procedural techniques to follow-up care and complicationsMore than 40 high definition videos, hosted on  companion website www.wiley.com/go/kipshidze/interventionaltherapies, complete with tips and tricks, provide a visual learning tool

Despite advances in the diagnosis and treatment of various cardiac illnesses, including ischemic, valvular and cardiomyopathic disease, the most cost-effective means of employing laboratory testing and treatment modalities remains an issue in most practice settings. With the advent of managed care and vigilant third-party payer evaluation of the use of diagnostic tests and hospital length of stay, the most effective medical and economic method of managing everyday cardiac illness is a question that arises daily in practice. To this end, experts in cardiac diagnosis and therapy develop practical and informative approaches outlining the most cost-effective methods of patient management. The topics include the entire range of cardiac diseases and emphasize the economic impact on decision-making. They develop guidelines and present general strategies for the practicing cardiologist and general internist. Additionally, the editors, who have 10 years of experience in this area, discuss the methods necessary to bring critical pathways and practice guidelines into clinical use. Both in-hospital and out-patient phases of illness are considered.Special concerns of hospital, private practice, managed care and group practice settings are specifically addressed.

A practical resource covering both elective and emergency procedures for the practicing vascular and endovascular clinicianThis book provides medical professionals (vascular surgeons, interventional cardiologists, interventional radiologists, endovascular neurologists, vascular medicine specialists) with a reference guide to the most common and accepted approach to endovascular management of peripheral vascular disease. It also addresses urgent interventions in the acute setting of the various vascular beds, and covers emerging areas such as stroke intervention and endovascular treatment of pulmonary embolism and vascular trauma.Edited by a multidisciplinary team, Endovascular Interventions offers in-depth coverage of the field in seven parts: Overview; Supra-Aortic Intervention in High Risk Patients: Innominate, Subclavian, Carotid, Vertebral and Intracranial Interventions; Interventions of the Aorta; Renal and Mesenteric Interventions; Lower Extremity Interventions; Venous Disease; and Vascular Trauma. Each section covers the technical aspects of the procedures as well as the fundamental clinical aspects which are necessary in the evaluation of patients considered for interventions. Chapters feature illustrations, case studies, key learning points, equipment lists, and sample questions and answers which can be used for Board exam practice. Practical review of vascular and endovascular medicine covering both elective and emergency proceduresIllustrated, templated chapters provide rapid answers to questions and include case studies, key learning points, and equipment listsIncludes sample questions and answers that are handy for Board exam practiceEdited by multidisciplinary expertsEndovascular Interventions is an excellent review book for all practicing and aspiring vascular and endovascular specialists.

ENDOVASCULAR INTERVENTIONS A practical and systematic approach to current endovascular surgical techniques An increasingly popular alternative to open vascular surgery, endovascular intervention offers many advantages, including reduced patient discomfort, smaller incisions, shorter recovery time, and decreased risk of adverse complications. Practitioners and trainees alike require expert guidance on current technologies and up-to-date techniques. Endovascular Interventions provides clinicians with an easy-to-follow guide for minimally invasive treatment of vascular disease. This invaluable resource delivers concise and accurate instructions on a wide range of endovascular interventions, including aorta, renal and mesenteric interventions, lower extremity interventions, venous interventions, and supra-aortic interventions in high-risk patients. Sequential phases of skill development broaden the reader’s abilities as they progress through each chapter, supplying step-by-step instructions on when each procedure should be used and how it can be safely and effectively performed. This book offers a complete reference to essential techniques and procedures, suitable for both novice and experienced vascular surgeons, cardiologists, and radiologists. Endovascular Interventions also: Reinforces comprehension of each procedure with templated chapters, equipment lists and boxed key learning pointsProvides full-color clinical images and detailed illustrations to demonstrate surgical proceduresPresents authoritative coverage of modern endovascular technologies and techniquesWritten by a team of respected experts and practicing surgeons from internationally recognized hospitals and universitiesSuitable for varying skill levels, Endovascular Interventions is a precise, accessible instruction manual for safe and effective endovascular intervention, helping practicing clinicians sharpen their existing abilities and keep pace with the latest surgical technologies while instructing trainees on this innovative approach to vascular surgery.

INTERVENTIONAL CARDIOLOGY The updated guide to understanding and implementing today’s interventional cardiology procedures Minimally invasive methods of cardiovascular intervention are developing apace, propelled by unprecedented advancements in technology and procedural expertise. Bearing exciting implications for a broad range of adjacent fields of surgery and patient care, these innovative techniques are of ever-increasing importance, not only within cardiology, but across medicine as a whole. This third edition of Interventional Cardiology is designed to equip practitioners of all levels with a working knowledge of today’s best and most up-to-date practices, as well as the fundamental principles that underlie their use. Expertly revised to span coronary interventions, interventional pharmacology, structural heart interventions, endovascular therapy, and more, its modular sections are accompanied by multiple-choice questions to help aid learning and self-assessment. The new edition of Interventional Cardiology features: A thorough survey of the field, including atherogenesis and inflammation, vascular access controversies, radiation protection concepts, acute and chronic interventional pharmacology recommendations for high risk subjects/proceduresEvaluations with imaging and physiology, including physiologic assessment in the cardiac catheterization lab, intravascular ultrasound, and optical coherence tomographyDiscussions of revascularization in various clinical settings, including stable coronary heart disease, acute myocardial infarction, he management of cardiogenic shock, and hemodynamic support devices and techniquesExaminations of coronary interventions in various lesion types, including complex lesions, left main, bifurcations, CTOHeart valve disease and relevant percutaneous interventions, including preop imaging and clinical evaluations and outcomes assessment in great depth and with technical details; left atrial interventions are an expanding frontierPeripheral vascular, carotid and aorta/branch diseases are covered in greater detail than previous editions; venous disease treatments have become well establishedAccompanied by a companion website featuring videos illustrating key procedures and interactive multiple choice questionsWhether studying for certification or already working in advanced practice, medical professionals of all kinds will benefit greatly from the practical instruction and cutting-edge knowledge found within this vital third edition.

In the era of instant global communication, medicine is an international discipline characterized by a wide range of patient referral systems, world-wide discussion of clinical and research findings, and an explosion in the medical literature. Perhaps no field has progressed more than cardiology in the past few years. Contemporary Concepts in Cardiology has been conceived as a supplement to the classic cardiology textbooks for the use of practicing physicians, cardiologists-in-training, medical students, and research investigators. This volume focuses on associations between refinements in the understanding of disease and clinical applications. The material is presented in a way that limns the latest advances and focuses thinking towards future developments in cardiology. The Editors have assembled a respected international panel of contributors so that each chapter is authored by a well-known specialist in his or her field. Every attempt was made to avoid the fragmentation which often characterizes the digest approach. Because the constant flow of information makes it nearly impossible to construct a timely book on advances in cardiology, the chapters in this volume describe the current concepts in cardiology and their underlying rationale, rather than attempting a comprehensive review of the most recent papers in each discipline.